NPI 1871033522

Mary McDonnell, LACDLAC

Practitioner Prevention Professional Oakland, CA

Practice location

Address: 342 49th St, Oakland, CA 94609-2239
Phone: (510) 428-2222
Fax: (510) 428-2222

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence AC 3092 (CA)

Other Prevention Professional providers in California →

Registry record

NPI: 1871033522
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2017
Record last updated: 28 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.